Anonemia anemia

Anemia mamiriro ezvinhu umo muviri usina masero matsvuku eropa akagwinya. Masero matsvuku eropa anopa okisijeni kumatumbu emuviri. Kune akawanda marudzi eanemia.

Pernicious anemia kuderera kwemasero matsvuku eropa ayo anoitika kana ura husingakwanise kunyatsotora vhitamini B12.

Pernicious anemia rudzi rwevhitamini B12 anemia. Muviri unoda vhitamini B12 kugadzira masero matsvuku eropa. Iwe unowana vhitamini iyi kubva pakudya chikafu chakadai senyama, huku, hove, hove, uye zvigadzirwa zvemukaka.

Protein yakakosha, inonzi intrinsic factor (IF), inosunga vhitamini B12 kuitira kuti inyure mumatumbu. Iyi protein inoburitswa nemaseru ari mudumbu. Kana mudumbu usingaite zvakakwana zvemukati chinhu, ura haugone kunyatsotora vhitamini B12.

Kazhinji zvinokonzeresa kupererwa neropa kunosanganisira:

• Kuneta mudumbu lining (atrophic gastritis)
• Mamiriro ekuzvidzivirira mukati mawo umo immune system inorwisa iyo chaiyo yemukati chinhu protein kana maseru ari mumucheto wedumbu rako anoigadzira.

Muzviitiko zvisingawanzoitika, anemia inouraya inopfuudzwa kuburikidza nemhuri. Izvi zvinonzi congenital inouraya anemia. Vacheche vane rudzi urwu rweanemia havaite zvakakwana zvemukati chinhu. Kana ivo havagone kunyatsotora vhitamini B12 mumatumbo mudiki.

Muvanhu vakuru, zviratidzo zvehutachiona hweanemia zvinowanzoonekwa zvisati zvaitika mushure memakore makumi matatu. Avhareji zera rekuongororwa izera makumi matanhatu.

Iwe uri mukana wekuvandudza chirwere ichi kana iwe:

• NdiScandinavia kana maodzanyemba eEurope
• Iva nenhoroondo yemhuri yemamiriro acho

Zvimwe zvirwere zvinogona kukwidziridza njodzi yako. Zvinosanganisira:

• Addison chirwere
• Graves chirwere
• Hypoparathyroidism
• Hypothyroidism
• Myasthenia gravis
• Kurasikirwa kweyakajairika mashandiro emazai makore makumi mana asati apfuura (chikuru ovarian kutadza)
• Tora 1 chirwere cheshuga
• Testicular kusagadzikana
• Vitiligo
• Sjögren chirwere
• Hashimoto chirwere
• Chirwere cheCeliac

Anemia inonetsa inogona kuitikawo mushure mekuvhiyiwa kwepamuviri.

Vamwe vanhu havana zviratidzo. Zviratidzo zvinogona kuve zvakapfava.

Zvinogona kusanganisira:

• Manyoka kana kupatira
• Nausea
• Kusvipa
• Kuneta, kushomeka kwesimba, kana hura husina musoro kana uchisimuka kana nesimba
• Kupererwa nechido
• Pale ganda (nyoro jaundice)
• Kufema kwekufema, kunyanya panguva yekurovedza muviri
• Kushungurudza
• Rakazvimba, rurimi rutsvuku kana marimu anobuda ropa

Kana iwe uine yakaderera vhitamini B12 nhanho kwenguva yakareba, iwe unogona kunge uine nervous system kukuvara. Zviratidzo zvinogona kusanganisira:

• Kuvhiringidzika
• Ipfupi-yenguva yekurangarira kurasikirwa
• Kushungurudzika
• Kurasikirwa kwekuenzanisa
• Unhu uye kurira mumaoko nemakumbo
• Dambudziko rekutarisa
• Kushatirwa
• Hallucinations
• Kunyengera
• Optic tsinga atrophy

Anopa hutano anoita bvunzo dzepanyama. Miedzo inogona kuitwa inosanganisira:

• Bone marrow bvunzo (inongodiwa chete kana kuongororwa kusiri kujeka)
• Yakazara kuverenga ropa (CBC)
• Reticulocyte kuverenga
• Chikamu cheLDH
• Serum bilirubin
• Methylmalonic acid (MMA) nhanho
• Homocysteine ​​level (amino acid inowanikwa muropa)
• Vitamin B12 chikamu
• Nhanho dzemasoja ekudzivirira anopokana neIF kana maseru anogadzira IF

Chinangwa chekurapa ndechekuwedzera yako vhitamini B12 nhanho:

• Kurapa kunosanganisira kupfura vhitamini B12 kamwe chete pamwedzi. Vanhu vane zvakadzika zvakadzika maseru eB12 vangangoda mamwe mapfuti pakutanga.
• Vamwe vanhu vanogona kurapwa zvakakwana nekutora muhombe madhayamita evhitamini B12 zvinowedzera nemuromo.
• Rumwe rudzi rwevhitamini B12 runogona kupihwa kuburikidza nemhino.

Vanhu vazhinji vanowanzoita zvakanaka nekurapwa.

Zvakakosha kutanga kurapwa kare. Kukuvara kwemutsipa kunogona kusingaperi kana kurapwa kusingatange mukati memwedzi mitanhatu yezviratidzo.

Vanhu vane njodzi anemia vanogona kunge vane gastric polyps. Ivo zvakare vanowanzo kuve nekenza yegastric uye gastric carcinoid tumors.

Vanhu vane anemia inokanganisa vanowanzo kuve nekutyoka kwemusana, gumbo repamusoro, nepamberi kwepamberi.

Uropi uye huta hurongwa matambudziko anogona kuenderera kana kuva zvachose kana kurapwa kunonoka.

Mukadzi ane yakaderera B12 nhanho anogona kuve nenhema yakanaka Pap smear. Izvi zvinodaro nekuti kushomeka kwevhitamini B12 kunokanganisa nzira iyo mamwe masero (epithelial maseru) mumuromo wechibereko anotaridzika.

Fonera mupiki wako kana iwe uine zviratidzo zvevhitamini B12 kushomeka.

Iko hakuna inozivikanwa nzira yekudzivirira iyi mhando yevhitamini B12 anemia. Zvisinei, kuonekwa kwekutanga uye kurapwa kunogona kubatsira kuderedza zvinetso.

Macrocytic achylic kupererwa neropa; Kuberekwa kunoparadza anemia; Mwana wechidiki anemia anemia; Vitamin B12 kushomeka (malabsorption); Kupererwa neropa - chinhu chemukati; Kupererwa neropa - IF; Kupererwa neropa - atrophic gastritis; Kupererwa neropa; Addison kupererwa neropa

• Megaloblastic anemia - maonero emasero matsvuku eropa

Antony AC. Megaloblastic anemias. Muna: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Misimboti uye Maitiro. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 39.

Anusha V. Anonetseka kupererwa neropa / megaloblastic anemia. Mune: Kellerman RD, Rakel DP, eds. Conn Yazvino Therapy 2020. Philadelphia, PA: Elsevier; 2020: 446-448.

Elghetany MT, Schexneider KI, Banki K. Erythrocytic kusagadzikana. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chits. 32.

Zvinoreva RT. Kusvika kune anemias. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 149.